देश: संयुक्त राज्य
भाषा: अंग्रेज़ी
स्रोत: NLM (National Library of Medicine)
PANOBINOSTAT LACTATE (UNII: HN0T99OO4V) (PANOBINOSTAT - UNII:9647FM7Y3Z)
Novartis Pharmaceuticals Corporation
PANOBINOSTAT LACTATE
PANOBINOSTAT 10 mg
ORAL
PRESCRIPTION DRUG
FARYDAK, a histone deacetylase inhibitor, in combination with bortezomib and dexamethasone, is indicated for the treatment of patients with multiple myeloma who have received at least 2 prior regimens, including bortezomib and an immunomodulatory agent. This indication is approved under accelerated approval based on progression free survival [see Clinical Studies (14.1)] . Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials. None Risk Summary FARYDAK can cause fetal harm when administered to a pregnant woman. Panobinostat was teratogenic in rats and rabbits. If FARYDAK is used during pregnancy or if the patient becomes pregnant while taking this drug, apprise the patient of the potential hazard to the fetus. Data Animal Data In embryofetal development studies, panobinostat was administered orally 3 times per week during the period of organogenesis to pregnant rats (30, 100, and 300 mg/kg) and rabbits (10, 40, and 80 mg/kg). I
How Supplied FARYDAK 10 mg panobinostat (equivalent to 12.58 mg of panobinostat lactate): Size # 3 light green opaque capsule, radial markings on cap with black ink “LBH 10 mg” and two radial bands with black ink on body, containing white to almost white powder. FARYDAK 15 mg panobinostat (equivalent to 18.86 mg of panobinostat lactate): Size #1 orange opaque capsule, radial markings on cap with black ink “LBH 15 mg” and two radial bands with black ink on body, containing white to off-white powder. FARYDAK 20 mg panobinostat (equivalent to 25.15 mg of panobinostat lactate): Size #1 red opaque capsule, radial markings on cap with black ink “LBH 20 mg” and two radial bands with black ink on body, containing white to off-white powder. FARYDAK capsules are packaged in PVC/PCTFE blister packs. 10 mg Blister packs containing 6 capsules ………………………….…….NDC 0078-0650-06 15 mg Blister packs containing 6 capsules ………………………….…….NDC 0078-0651-06 20 mg Blister packs containing 6 capsules ………………………….…….NDC 0078-0652-06 Storage and Handling Store at 20°C to 25°C (68°F to 77°F), excursions permitted between 15°C and 30°C (59°F and 86°F). Store blister pack in original carton to protect from light. FARYDAK capsules should not be opened, crushed, or chewed. Direct contact of the powder in FARYDAK capsules with the skin or mucous membranes should be avoided. If such contact occurs wash thoroughly. Personnel should avoid exposure to crushed and/or broken capsules. FARYDAK is a cytotoxic drug. Follow special handling and disposal procedures [see References (15)1 ] .
New Drug Application
Novartis Pharmaceuticals Corporation ---------- This Medication Guide has been approved by the U.S. Food and Drug Administration. Revised: June 2016 MEDICATION GUIDE FARYDAK® (FAYR-ah-dak) (panobinostat) capsules What is the most important information I should know about FARYDAK? FARYDAK can cause serious side effects, including: • Diarrhea is common with FARYDAK and can be severe. Tell your healthcare provider right away if you have abdominal (stomach) cramps, loose stool, diarrhea, or if you feel like you are becoming dehydrated. Your healthcare provider may prescribe medicines to help prevent or treat these side effects. Taking or using stool softeners or laxative medicines may worsen diarrhea, talk to your healthcare provider before taking or using these medicines. Your healthcare provider will do regular tests to check the levels of fluid and electrolytes in your blood during treatment with FARYDAK. • Heart problems. FARYDAK can cause severe heart problems which can lead to death. Your risk of heart problems may be increased if you have a condition called “long QT syndrome” or other heart problems. Your healthcare provider will do blood tests to check your electrolytes and do an electrocardiogram (ECG) tests before and during treatment with FARYDAK. Call your healthcare provider and get emergency medical help right away if you have any of the following symptoms of heart problems: o chest pain o dizziness o faster or slower heart beat o blue colored lips o palpitations (feel like your heart is racing) o shortness of breath o feel lightheaded or faint o swelling in your legs • Bleeding. FARYDAK can cause severe bleeding which can lead to death. It may take you longer than usual to stop bleeding while you are taking FARYDAK. Your healthcare provider will check your platelet counts before you start FARYDAK and during your treatment with FARYDAK. Tell your healthcare provider right away if you get any of the following signs of bleeding: o blood in your stools or black stools (look like tar) o increased पूरा दस्तावेज़ पढ़ें
FARYDAK- PANOBINOSTAT CAPSULE NOVARTIS PHARMACEUTICALS CORPORATION ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE FARYDAK SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR FARYDAK. FARYDAK (PANOBINOSTAT) CAPSULES, FOR ORAL USE INITIAL U.S. APPROVAL: 2015 WARNING: FATAL AND SERIOUS TOXICITIES: SEVERE DIARRHEA AND CARDIAC TOXICITIES _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ SEVERE DIARRHEA OCCURRED IN 25% OF FARYDAK TREATED PATIENTS. MONITOR FOR SYMPTOMS, INSTITUTE ANTI-DIARRHEAL TREATMENT, INTERRUPT FARYDAK AND THEN REDUCE DOSE OR DISCONTINUE FARYDAK. (5.1) SEVERE AND FATAL CARDIAC ISCHEMIC EVENTS, SEVERE ARRHYTHMIAS, AND ECG CHANGES HAVE OCCURRED IN PATIENTS RECEIVING FARYDAK. ARRHYTHMIAS MAY BE EXACERBATED BY ELECTROLYTE ABNORMALITIES. OBTAIN ECG AND ELECTROLYTES AT BASELINE AND PERIODICALLY DURING TREATMENT AS CLINICALLY INDICATED. (5.2) RECENT MAJOR CHANGES Warnings and Precautions, Embryo-Fetal Toxicity (5.7) 6/2016 INDICATIONS AND USAGE FARYDAK, a histone deacetylase inhibitor, in combination with bortezomib and dexamethasone, is indicated for the treatment of patients with multiple myeloma who have received at least 2 prior regimens, including bortezomib and an immunomodulatory agent. This indication is approved under accelerated approval based on progression free survival. Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials. (1) DOSAGE AND ADMINISTRATION 20 mg, taken orally once every other day for 3 doses per week (on Days 1, 3, 5, 8, 10, and 12) of Weeks 1 and 2 of each 21-day cycle for 8 cycles (2.1) Consider continuing treatment for an additional 8 cycles for patients with clinical benefit, unless they have unresolved severe or medically significant toxicity (2.1) DOSAGE FORMS AND STRENGTHS Capsules: 10 mg, 15 mg, and 20 mg panobinostat (equivalent to 12.58 mg, 18.86 mg, and 25.15 mg respectively of panobinostat lactate) (3 पूरा दस्तावेज़ पढ़ें